Director, Market Access

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GeneDx

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

At GeneDx, we believe that everyone deserves personalized, targeted medical care—and that it all begins with a genetic diagnosis. Fueled by one of the world’s largest rare disease data sets, our industry-leading exome and genome tests translate complex genomic data into clinical answers that unlock personalized health plans, accelerate drug discovery, and improve health system efficiencies. It all starts with a single test.

📋 Description

• Develop innovative access, pricing, coverage and contracting strategies to support the needs of patients and their clinicians, that ultimately drive business growth, profitability and performance • Lead payor contracting strategy within the assigned geography/payors by identifying opportunities to obtain new contracts and/or improve rates and terms in existing contracts with regional payors, national payors, Managed Medicaid (MCOs), Lab Benefit Managers (LBMs), etc. • Drive the expansion of payor medical policies, conveying the latest evidence and guidelines to payor accounts, focusing on exome and genome sequencing. • Collaborate with cross-functional teams, including Revenue Cycle Management (RCM), Legal, Training, Sales, and Marketing, aligning efforts for successful contract implementation. • Guide the RCM team on changing payor requirements that may impact reimbursement success. • Provide subject matter expertise in the following areas: professional society guidelines, health technology assessments, relevant published evidence, lab benefit management programs, medical policies, state legislation, and other regulations and market trends that may have business impact. • Proactively share insights based on payor data and drive solutions to address opportunities to improve reimbursement success. • Provide strategic Market Access guidance to the GeneDx field sales team within the assigned geography to achieve volume and revenue targets. • Identify and develop opportunities for strategic payor partnerships that will further the GeneDx position as a market leader in genomics. • Establish partnerships with external stakeholders such as advocacy groups, health systems, state legislators, and key opinion leaders who may help accelerate policy change efforts. • Serve as the payor-expert, advising internal business leads across your geography and beyond, based on your deep knowledge of the current and future payor landscape. • Solve complex business problems on behalf of GeneDx, leveraging internal and external resources to devise effective solutions

🎯 Requirements

• 10+ years of Market Access experience, preferably in molecular diagnostics • 5+ years of experience in genomics is strongly preferred • Demonstrated experience with indirect networks, including IPAs • Demonstrated experience managing a large national payor, such as UnitedHealthcare • Bachelor’s degree or higher in related field • Proven track record of influencing payor medical policies • Strong executive presence with a solution-oriented mindset • Demonstrated ability to simplify and communicate complex information • Strong analytical, communication, and interpersonal skills • Highly adaptable in a rapidly changing environment • Ability to travel for business-critical meetings (up to 20% of the time)

🏖️ Benefits

• Health insurance • 401(k) matching • Paid time off • Remote work options